Carlberg, David Gordon
Carlberg, David Gordon is an sole proprietor health care provider with primary practice located at 10 Prospect St , Jamestown NY 14701-1948. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Carlberg, David Gordon can be contacted via phone (716) 661-9230.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 031530 | New York |
Profile Details
| NPI number | 1538491501 |
|---|---|
| LBN Legal business name | Carlberg, David Gordon |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2010 |
| Last updated | Sep 22nd, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538491501 | NPPES |
| New York | MEDICAID | 02927815 |
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